Provider Demographics
NPI:1073516654
Name:RADIOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:RADIOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-762-0020
Mailing Address - Street 1:38 HAMLET AVE
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-4423
Mailing Address - Country:US
Mailing Address - Phone:401-762-0020
Mailing Address - Fax:401-762-1819
Practice Address - Street 1:450 VETERANS MEMORIAL PKWY
Practice Address - Street 2:BUILDING 2
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-5300
Practice Address - Country:US
Practice Address - Phone:401-435-3041
Practice Address - Fax:401-435-3042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADIOLOGY ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-05-27
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRAD01192085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
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StateIdentifier IDID TypeIssuer
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MA0008792OtherNHP MA
ME431721602Medicaid
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603550OtherHPHC
16-00136OtherUHC
705830OtherTUFTS
9782109OtherHEALTHY START
20407OtherFALLON
RICPG0000302OtherBLUECHIP
RI2561OtherRIBCBS
CT50RADINCMMA01OtherANTHEM BCBS
MAM16192OtherMA BCBS
16-00136OtherUHC